<include file="Public/header" />
<div class="row">
    <div class="col-md-8 col-md-offset-2">
        <img src="__PUBLIC__/file/{$system['logo']}" style="padding: 2rem;"/>
        <div class="panel panel-default">
            <div class="panel-heading">
                <h3 class="panel-title">欢迎导游加盟，请填写以下申请信息</h3>
            </div>
            <div class="panel-body">
                <form class="form-horizontal" role="form" method="post" enctype="multipart/form-data" style="padding-left: 10px;padding-right: 10px;">
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="username"> 手机号 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="手机号" id="username" name="username"  value="{$model['username']|default=''}" validate-required="required:请填写手机号" <if condition="ACTION_NAME eq update">readonly</if>/>
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="password"> 密码 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="password" class="width-100" placeholder="密码" id="password" name="password"  value="{$model['password']|default=''}" validate-required="required:请填写密码" />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="repassword"> 重复密码 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="password" class="width-100" placeholder="密码" id="password" name="repassword"  value="{$model['repassword']|default=''}" validate-required="required:请填写密码" />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <input type="hidden" name="type" value="导游" />
                    <input type="hidden" name="state" value="禁用" />
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="name"> 姓名 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="姓名" id="name" name="name"  value="{$model['name']|default=''}" validate-required="required:请填写姓名" />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="photo"> 头像 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="file" class="width-100" placeholder="头像" id="photo" name="photo"  value="{$model['photo']|default=''}"  validate-required="required:请填写姓名"/>
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="location"> 所在地 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="所在地" id="location" name="location"  value="{$model['location']|default=''}"  />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="id_number"> 身份证号 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="身份证号" id="id_number" name="id_number"  value="{$model['id_number']|default=''}"  />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="birthday"> 生日 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="生日" id="birthday" name="birthday"  value="{$model['birthday']|default=''|date='Y-m-d',###}"  onClick="WdatePicker()" readonly=""/>
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="email"> 邮箱 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="邮箱" id="email" name="email"  value="{$model['email']|default=''}"  />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="bank"> 银行 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="text" class="width-100" placeholder="银行" id="bank" name="bank"  value="{$model['bank']|default=''}"  />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="card_no"> 银行卡号 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="银行卡号" id="card_no" name="card_no"  value="{$model['card_no']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="bank"> 性别 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <select name="gender" class="width-100">
                                    <option value="男">男</option>
                                    <option value="女">女</option>
                                </select>
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="bank"> 导游类型 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <select name="guider_type" class="width-100">
                                    <option value="大学生导游">大学生导游</option>
                                    <option value="社会导游">社会导游</option>
                                    <option value="职业导游">职业导游</option>
                                    <option value="国外导游">国外导游</option>
                                </select>
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="nationality"> 国籍 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="国籍" id="nationality" name="nationality"  value="{$model['nationality']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="degree"> 学历 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <select name="degree" class="width-100">
                                    <option value="专科">专科</option>
                                    <option value="本科">本科</option>
                                    <option value="硕士">硕士</option>
                                    <option value="博士">博士</option>
                                </select>
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="college"> 毕业院校 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="毕业院校" id="college" name="college"  value="{$model['college']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="age"> 年龄 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="年龄" id="age" name="age"  value="{$model['age']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="price"> 价格 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="价格" id="price" name="price"  value="{$model['price']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="special"> 特长 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                                <input type="text" class="width-100" placeholder="特长" id="special" name="special"  value="{$model['special']|default=''}"  />
                                <i class=""></i>
                            </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>

                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="img"> 图片 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="file" class="width-100" placeholder="图片" id="img" name="img"  value="{$model['img']|default=''}" validate-required="required:请填写图片" />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>
                    <div class="form-group">
                        <label class="col-xs-12 col-sm-3 col-md-3 control-label no-padding-right" for="justification"> 资质证明 </label>
                        <div class="col-xs-12 col-sm-6">
                            <span class="block input-icon input-icon-right">
                        <input type="file" class="width-100" placeholder="资质证明" id="justification" name="justification"  value="{$model['justification']|default=''}" validate-required="required:请填写资质证明" />
                        <i class=""></i>
                    </span>
                        </div>
                        <div class="help-block col-xs-12 col-sm-reset inline" style="margin-bottom: 5px;"></div>
                    </div>

                    <div class="clearfix form-actions">
                        <div style="margin-left: 25%;">
                            <button class="btn btn-info btn-sm" type="submit">
                                <i class="icon-ok bigger-110"></i> 提交
                            </button>
                            &nbsp; &nbsp; &nbsp;
                            <button class="btn btn-sm return" type="button">
                                <i class="icon-reply bigger-110"></i> 返回
                            </button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
<include file="Public/footer" />
